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Treatment of very severe brain injuries
作者姓名:杨振九  杨佳勇  冯承宣  宋伟健  孙强
作者单位:DepartmentofNeurosurgery,NanshanHospital,Shenzhen518052,China
摘    要:Objective: To sum up the experience in treating very severe traumatic brain injuries. Methods: Retrospective analysis of 68 patients with very severe traumatic brain injuries treated in our hospital from 1997 to 2002 was done. Results: Forty-one (60%) patients died. In the 50 patients treated surgically 27(40%) survived, 8 recovered well, 9 had moderate disability and 10 had sever deficits.The 18 patients treated non-operatively all died. Conclusions. Much attention should be given to the observation of the changes of severe brain injuries with cranial base injury. Timely operative decompression, basic life support, keeping effective brain blood perfnsion and effective oxygen supply, improving cerebral microcirculation and preventing or controlling complications are the main methods to raise the successful rate of treating very severe brain injuries and the life quality of the patients.

关 键 词:重型脑损伤  脑血流灌注  生活质量  并发症  外科治疗

Treatment of very severe brain injuries
YANG Zhen jiu ,YANG Jia yong,FENG Cheng xuan,SONG Wei jian and SUN Qiang.Treatment of very severe brain injuries[J].Chinese Journal of Traumatology(English Edition),2004,7(1):49-51.
Authors:YANG Zhen jiu  YANG Jia yong  FENG Cheng xuan  SONG Wei jian and SUN Qiang
Affiliation:Department of Neurosurgery, Nanshan Hospital, Shenzhen 518052, China
Abstract:Objective: To sum up the experience in treating very severe traumatic brain injuries. Methods: Retrospective analysis of 68 patients with very severe traumatic brain injuries treated in our hospital from 1997 to 2002 was done. Results: Forty one (60%) patients died. In the 50 patients treated surgically 27 (40%) survived, 8 recovered well, 9 had moderate disability and 10 had sever deficits. The 18 patients treated non operatively all died. Conclusions: Much attention should be given to the observation of the changes of severe brain injuries with cranial base injury. Timely operative decompression, basic life support, keeping effective brain blood perfusion and effective oxygen supply, improving cerebral microcirculation and preventing or controlling complications are the main methods to raise the successful rate of treating very severe brain injuries and the life quality of the patients.
Keywords:Head injuries  Therapy
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